Georgia Health Services Network, L.L.C.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GEORGIA HEALTH SERVICES NETWORK, L.L.C.

Practice address

3234 Holly Stand CT
Loganville, GA 30052-3254

Phone

(770) 466-7771

Fax

(770) 466-3810

NPI assigned

Dec 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carolyn FaganNPI 1437015161

Title

Ceo Administrator

Phone

(770) 466-7771

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Georgia Health Services Network LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Georgia Health Services Network, LLC

  • Assisted Living Facility
  • Monroe, GA
  • NPI 1265785273
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carolyn Fagan

  • Case Management Registered Nurse
  • Watkinsville, GA
  • NPI 1437015161
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1457413023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3234 HOLLY STAND CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523254",
            "telephone_number": "770-466-7771",
            "fax_number": "770-466-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 HOLLY STAND CT",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300523254",
            "telephone_number": "770-466-7771",
            "fax_number": "770-466-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HEALTH SERVICES NETWORK, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CEO  ADMINISTRATOR",
        "authorized_official_telephone_number": "770-466-7771"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473089321A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473089321B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Constance O George-Adebayo, MD
• Georgia CVS Pharmacy LLC (CVS Pharmacy # 07712)
• Georgia CVS Pharmacy, L.L.C. (CVS Pharmacy # 04138)
• Georgia Dental Professionals, PC (Bay Creek Dental Care)
• Georgia Dental Professionals, PC (Princeton Dental)
• Georgia Surgicare (IBI Urgent Care Center Loganville)
• Georgia Surgicare (IBI Loganville Pain and Spine)
• Georgia Surgicare
• Erica Geralds, MDIV, LPC, NCC
• John J Gerega, DPT

• Case Management Agency in Loganville, GA
• Providers in Loganville, GA by specialty
• Case Management Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.